Organization Active NPI

Omega Rehabilitation Group, Inc

  • Physical Therapy Clinic/Center
  • Memphis, TN
National Provider Identifier
1376848713
Registry record updated Jan 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5958 Issued in TN
Legal business name
OMEGA REHABILITATION GROUP, INC
Practice address
4202 Hacks Cross Rd
Suite: 114
Memphis, TN 38125-3757
Phone
(901) 754-7159
Fax
(901) 754-9540
NPI assigned
Jan 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carlos Cathey, P.T.NPI 1639360159
Title
Lead P.T.
Phone
(901) 754-7159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5958 TN Primary

Addresses

Primary practice location

4202 Hacks Cross Rd
Suite: 114
Memphis, TN 38125-3757

Mailing address

PO Box 751982
Memphis, TN 38175-1982
Phone (901) 754-7159

Other identifiers 1

IdentifierTypeStateIssuer
3713875MedicaidTN

National Provider Directory

National Provider Directory

Locations

4202 Hacks Cross Rd
Ste 114
Memphis, TN 38125
Phone (901) 754-7159

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295136000000",
    "number": "1376848713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751982",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381751982",
            "telephone_number": "901-754-7159",
            "fax_number": "901-754-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 HACKS CROSS RD",
            "address_2": "SUITE: 114",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253757",
            "telephone_number": "901-754-7159",
            "fax_number": "901-754-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA REHABILITATION GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-16",
        "last_updated": "2011-01-16",
        "status": "A",
        "authorized_official_last_name": "CATHEY",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "LEAD P.T.",
        "authorized_official_telephone_number": "901-754-7159",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "5958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3713875",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.